Question 153
{"accessible":false,"alternatives":[{"id":761,"text":"1"},{"id":762,"text":"2"},{"id":763,"text":"3"},{"id":764,"text":"4"},{"id":765,"text":"5"}],"archived":false,"correctAlternativeId":763,"explanation":"\u003cp\u003e\u003cstrong\u003eAAST pancreatic injury grading system\u003c/strong\u003e\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003egrade 1:\u003c/strong\u003e\u0026nbsp;hematoma with minor contusion/laceration but without duct injury\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003egrade 2:\u003c/strong\u003e\u0026nbsp;major contusion/laceration but without duct injury\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003egrade 3:\u003c/strong\u003e\u0026nbsp;distal laceration or parenchymal injury \u003cem\u003e\u003cstrong\u003ewith duct injury\u003c/strong\u003e\u003c/em\u003e\n\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003egrade 4:\u003c/strong\u003e\u0026nbsp;proximal (i.e. to the right of\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/superior-mesenteric-vein\"\u003esuperior mesenteric vein\u003c/a\u003e)\u0026nbsp;laceration or parenchymal injury with injury to\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/biliary-tree-anatomy\"\u003ebile duct\u003c/a\u003e\u0026nbsp;/ ampulla\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003egrade 5:\u003c/strong\u003e\u0026nbsp;massive disruption to pancreatic head\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eN.b. advance one grade for multiple injuries up to grade III.\u003c/p\u003e","id":153,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2654","nextQuestionPath":"/articles/pancreatic-trauma-1/questions/152","relatedArticles":[{"id":10014,"title":"Pancreatic trauma injury grading","link":"/articles/pancreatic-trauma-injury-grading?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eIn pancreatic trauma, any injury to the pancreatic duct constitutes at least what American Association for the Surgery in Trauma (AAST) grade?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/153"}],"attemptsPercentages":[{"alternativeId":"764","percentage":12},{"alternativeId":"762","percentage":3},{"alternativeId":"761","percentage":4},{"alternativeId":"765","percentage":3},{"alternativeId":"763","percentage":79}],"promptToLogin":false,"questionManager":false,"articleId":"pancreatic-trauma"}